# MMRad-22K: A Structured Multimodal Evidence Dataset for Chest X-ray Report Generation

arXiv: https://arxiv.org/abs/2602.12843 · HTML: https://mlsanity.com/paper/2602.12843/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 17 of its 35 references that are in the map.
- First posted on arXiv 13 Feb 2026.

## Builds on (most cited first, 17 of 17)

- [InternVL3.5: Advancing Open-Source Multimodal Models in Versatility, Reasoning, and Efficiency](https://mlsanity.com/paper/2508.18265/) (2025)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Emerging Properties in Unified Multimodal Pretraining](https://mlsanity.com/paper/2505.14683/) (2025)
- [MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs](https://mlsanity.com/paper/1901.07042/) (2019)
- [DeepSeek-VL2: Mixture-of-Experts Vision-Language Models for Advanced Multimodal Understanding](https://mlsanity.com/paper/2412.10302/) (2024)
- [Generating Radiology Reports via Memory-driven Transformer](https://mlsanity.com/paper/2010.16056/) (2020)
- [On the Automatic Generation of Medical Imaging Reports](https://mlsanity.com/paper/1711.08195/) (2017)
- [Hybrid Retrieval-Generation Reinforced Agent for Medical Image Report Generation](https://mlsanity.com/paper/1805.08298/) (2018)
- [Improving Factual Completeness and Consistency of Image-to-Text Radiology Report Generation](https://mlsanity.com/paper/2010.10042/) (2020)
- [R2GenGPT: Radiology Report Generation with Frozen LLMs](https://mlsanity.com/paper/2309.09812/) (2023)
- [ANOLE: An Open, Autoregressive, Native Large Multimodal Models for Interleaved Image-Text Generation](https://mlsanity.com/paper/2407.06135/) (2024)
- [Improving the Factual Correctness of Radiology Report Generation with Semantic Rewards](https://mlsanity.com/paper/2210.12186/) (2022)
- [Thinking with Generated Images](https://mlsanity.com/paper/2505.22525/) (2025)
- [EHRXQA: A Multi-Modal Question Answering Dataset for Electronic Health Records with Chest X-ray Images](https://mlsanity.com/paper/2310.18652/) (2023)
- [Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generation](https://mlsanity.com/paper/2502.20056/) (2025)
- [Structural Entities Extraction and Patient Indications Incorporation for Chest X-ray Report Generation](https://mlsanity.com/paper/2405.14905/) (2024)

## Abstract (arXiv)

Chest X-ray (CXR) reporting follows a region-based clinical workflow in which radiologists inspect anatomical regions and integrate localized findings into a final report. However, existing resources for CXR report generation provide these supervision signals in fragmented forms. We introduce MMRad-22K, a dataset that organizes regional textual observations, anatomical grounding coordinates, localized image evidence, and report targets into structured multimodal evidence units for CXR report generation. To motivate this formulation, we first compare different evidence formats for report generation and find that structured multimodal evidence is generally more useful than text-only or bounding box-based evidence. We then adapt a unified LVLM backbone using MMRad-22K and show that adaptation with multimodal evidence outperforms both textual-evidence adaptation and end-to-end adaptation on language and clinically oriented metrics. Under the same evaluation protocol, the adapted model also reaches a performance level comparable to several open-source LVLM references. Together, these results support MMRad-22K as a practical structured multimodal resource for training and evaluating CXR report generation aligned with clinical reading workflows.